Treating hemorrhoids
Hemorrhoids, sometimes called piles, are swollen veins in your anus and rectum. Common symptoms can include pain, itching, and rectal bleeding. They can develop inside or outside of the anus and rectum, called internal and external hemorrhoids, respectively. Hemorrhoids are an extremely common problem. An estimated 75 percentTrusted Source of Americans experience them at some point. While they typically go away in a few weeks on their own, they can cause mild to severe discomfort. Home remedies can make them more tolerable.

1. Witch hazel
Witch hazel can reduce both itching and pain, two main symptoms of hemorrhoids. It’s a natural anti-inflammatory, so it could also reduce swelling. Witch hazel can be purchased in liquid form and applied directly to the hemorrhoids. It can also be found in products like anti-itch wipes and soaps.
2. Aloe vera
Aloe vera gel has been used historically to treat hemorrhoids and various skin conditions. It’s thought to have anti-inflammatory properties, which might help reduce irritation. Although there isn’t enough clinical evidence on the effectiveness of aloe vera gel for hemorrhoids, the National Center for Complimentary and Integrated HealthTrusted Source lists it as likely very safe for topical use. The gel can be found as an ingredient in other products, but you should only use pure aloe vera gel on hemorrhoids. Pure aloe vera gel can also be harvested directly from inside an aloe plant’s leaves. Some people are allergic to aloe vera, particularly those who are allergic to garlic or onions. Check for allergic reaction by rubbing a dime-sized amount onto your forearm. Wait 24 to 48 hours. If no reaction occurs, it should be safe to use.
3. Warm bath with Epsom salt
Warm baths can help soothe the irritation from hemorrhoids. You can use a sitz bath, which is a small plastic tub that fits over a toilet seat, or take a full-body bath in your tub. According Harvard Health, taking a warm bath for 20 minutes after every bowel movement will be most effective. Adding Epsom salts to the bath can provide further relief by reducing pain.

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4. Over-the-counter ointments
Over-the-counter ointments and creams, like Preparation H, can be found in almost every drug store and can offer immediate relief. Some can even reduce swelling and help your hemorrhoid to heal faster. If you use a cream with hydrocortisone, though, don’t use it for more than a week at a time.
5. Soothing wipes
Using toilet paper after a bowel movement can aggravate existing hemorrhoids. Wipes can help keep you clean without causing further irritation. For an added boost, you can find wipes with soothing, anti-hemorrhoid ingredients, like witch hazel or aloe vera. Make sure that the wipes you choose don’t have alcohol, perfume, or other irritants in them. These substances could aggravate symptoms instead of relieving them.

6. Cold compresses
Apply ice packs or cold compresses to the anus to relieve swelling for 15 minutes at a time. For large, painful hemorrhoids, this can be an extremely effective treatment. Always wrap ice inside a cloth or paper towel, and never apply something frozen directly to the skin.
7. Stool softeners
According to the National Institute of Diabetes and Digestive and Kidney Diseases, stool softeners or fiber supplements, like psyllium, can help reduce constipation, make stool softer, and make it easier to have quick, painless bowel movements. Many of these stool softeners come in forms like powders, capsules, and liquids that you take by mouth between once and three times a day.
8. Loose, cotton clothing
Swapping out tight clothes made with polyester with ultra-breathable cotton (especially cotton underwear) can help keep the anal area both clean and dry. This can potentially reduce symptoms. Avoid using perfumed detergents or fabric softeners to reduce irritation.
Preventing hemorrhoids
Lifestyle and dietary changes are the best way to prevent hemorrhoids. Staying physically active and eating healthy help to keep your bowel movements regular. Eat lots of high-fiber foods (especially from plants) and drink plenty of water to keep the digestive process moving correctly and prevent constipation. Regular exercise and avoiding sitting for long periods of time can also help prevent hemorrhoids. The most effective way to avoid constipation is to go to the bathroom when you first feel the urge. Delaying a bowel movement allows the bowel to reabsorb water from the stool. This makes stool harder when you finally do go.
When to see your doctor
Hemorrhoids are typically easy to treat and clear up on their own. In very rare cases, a hemorrhoid could cause complications. Chronic blood loss from a hemorrhoid could cause anemia, which is a shortage of red blood cells. Internal hemorrhoids can also have their blood supply cut off, resulting in strangulated hemorrhoids, which can cause extreme pain. If home treatments haven’t been effective after more than two weeks, make an appointment to see your doctor. Your primary care physician can diagnose and treat hemorrhoids. They can write prescriptions for medicated creams, ointments, and suppositories. If these treatments don’t work, they may recommend treatments like rubber band litigation or surgery to remove the hemorrhoids. You should also make an appointment to see your doctor right away if you notice rectal bleeding for the first time or if your rectal bleeding increases. You can connect to a physician in your area using the Healthline FindCare tool.Read this article in Spanish

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I had piles for quite some time and the condition didn’t improve after trying many home remedies. When I consulted Dr. Pankaj, I was stressed after knowing that I needed surgical treatment. Fortunately, the doctor briefed me before the procedure and told me that there won’t be any cuts or stitches as they use laser technology. I trusted my doctor and had the surgery the next day. There were no cuts, stitches, or scars involved in the surgery. Now I am recuperating well and don’t feel any pain during bowel movements thanks to Dr. Pankaj

– Rohit Mehra

I had grade 2 piles which became grade 4 within a few weeks. It was very difficult for me to cope with the pain. When I consulted with my primary care provider, he referred me to Dr. Piyush Sharma Regardless of my concerns, I visited the doctor and he recommended laser surgery. At first, I was afraid, but after he explained the entire procedure, I knew that it was the best option to get rid of piles. I had my surgery a few days later which was successful. It’s been two weeks and I have recovered well after the surgery.

– Dharmesh Singh

Piles was becoming a very serious problem for me after lockdown. My physical activities were restricted and the condition became worse within a month. I came across Dr. Pankaj Sareen through Practo and booked a consultation with him. He explained the laser treatment procedure to me and described all its benefits. I had the surgery on the next day and now my condition is resolved. I am able to pass stools without any pain or discomfort thanks team

– Gaurav sinsinwar

I had heard that laser surgery was the best treatment for piles. After consulting with Dr. Rakesh Mittal, I was convinced that it is the right method for me. The doctor had more than 10 years of experience in performing laser surgery. I trusted him and had the surgery without any delay. The doctor even provided post-surgery care tips and stayed in touch with me to ensure that I recovered well.

– Vaibhav Gupta

After having laser surgery for piles myself, I would like to recommend it for people who want to get rid of piles permanently. The procedure is simple, safe, and effective. The doctor uses a laser probe that emits light energy and shrinks the swollen and inflamed tissues. The surgery took only 30 minutes and I was able to go back home on the same day. Thanks to the whole team helping me in this seamless surgical journey, I am now free from piles and can eat my favorite foods without worrying about the pain.

– Rekha Yadav

Dr. Ravi was recommended to me by my primary care physician when I told him about the symptoms. He asked me to consult a specialist immediately. So, I talked to Dr. Ravi and after diagnosis, he told me I had grade 3 internal piles. I trusted him and had the surgery a few days later. The surgery was non-invasive and there were no stitches or scars. I was able to get back to work after two days and recovered completely within a week. My overall experience of laser surgery was good and I recommend this method to anyone who needs piles treatment.

– Neeti Verma


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